| NPI | 1932595287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.012560) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 23627) |
| 207P00000X Emergency Medicine (Licence: NJ 25MB11179000) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2026-05-04 |